NPI | 1104034453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 87659) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS014008) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA OP 60561413) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA OP 60561413) | |
Enumeration Date | 2007-05-18 |
Last Update Date | 2022-08-15 |