NPI | 1992753024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME45390) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME0045390) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2014-11-14 |