NPI | 1972935476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 266219) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7088) |
Enumeration Date | 2013-08-07 |
Last Update Date | 2019-07-01 |