NPI | 1104935469 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 065915) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 065915) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 065915) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 23151) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 65915) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 23151) | |
208000000X Pediatrics (Licence: GA 065915) | |
208000000X Pediatrics (Licence: WV 23151) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2019-11-12 |