NPI | 1154615813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME130349) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME130349) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME130349) | |
Enumeration Date | 2011-05-30 |
Last Update Date | 2022-09-15 |