NPI | 1134123755 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A105179) |
Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A105179) |
207R00000X Internal Medicine (Licence: CA A105179) | |
Enumeration Date | 2005-06-10 |
Last Update Date | 2015-03-20 |