NPI | 1154597300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N3270) |
Additional Taxonomies | 208D00000X General Practice (Licence: ZZ 3296438) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N3270) | |
Enumeration Date | 2008-05-07 |
Last Update Date | 2010-06-21 |