NPI | 1114920733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G77080) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G77080) |
Enumeration Date | 2005-05-27 |
Last Update Date | 2019-03-06 |