NPI | 1053673160 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME154480) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01093552A) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01093552A) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME154480) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01093552A) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME154480) | |
Enumeration Date | 2012-06-13 |
Last Update Date | 2024-05-15 |