NPI | 1992799431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0102202399) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS7260) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2014-12-29 |