NPI | 1003810763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME 68259) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME 68259) |
Enumeration Date | 2005-06-10 |
Last Update Date | 2021-05-07 |