NPI | 1013206648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A135857) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A135857) |
207R00000X Internal Medicine (Licence: NY 278079) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01080322A) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A135857) | |
Enumeration Date | 2011-04-05 |
Last Update Date | 2020-11-24 |