NPI | 1104891738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2024-1021) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 041291) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 041291) | |
Enumeration Date | 2006-02-17 |
Last Update Date | 2024-10-11 |