NPI | 1164468450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S4331) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S4331) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A68954) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A68954) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 62878) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2020-01-27 |