NPI | 1043202849 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01081457A) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 311912) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX K0266) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX K0266) | |
Enumeration Date | 2005-08-17 |
Last Update Date | 2022-10-11 |