NPI | 1093157836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 19346) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 19346) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2019-12-11 |