NPI | 1104991090 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A54613) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A54613) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A54613) | |
Enumeration Date | 2006-11-24 |
Last Update Date | 2017-08-08 |