NPI | 1144317629 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G29783) |
Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology (Licence: CA G29783) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: CA G29783) | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2009-11-06 |