NPI | 1124094990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 12664) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 12664) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2015-08-13 |