NPI | 1992797609 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C55607) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 49711) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2020-10-21 |