NPI | 1073508602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 200300611) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2003-00611) |
207R00000X Internal Medicine (Licence: ME MD26608) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101239901) | |
Enumeration Date | 2005-09-20 |
Last Update Date | 2025-08-15 |