NPI | 1114956554 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX M2937) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M2937) |
207R00000X Internal Medicine (Licence: TX M2937) | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2022-10-17 |