NPI | 1992793830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 25674) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 205674) |
Enumeration Date | 2005-10-13 |
Last Update Date | 2007-12-13 |