NPI | 1073536074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 32334) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 199938) |
207R00000X Internal Medicine (Licence: SC 32334) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 32334) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2015-05-20 |