NPI | 1114967411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 6827) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 6827) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 6827) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2007-07-09 |