NPI | 1154387546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 15246) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 15246) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 15246) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2007-07-08 |