NPI | 1073719381 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 9933) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 9933) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 228514) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 228514) | |
Enumeration Date | 2007-06-23 |
Last Update Date | 2007-07-08 |