NPI | 1093196412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 273314) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD467636) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD467636) | |
Enumeration Date | 2015-06-11 |
Last Update Date | 2023-06-01 |