NPI | 1164507331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 2OA9037) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 2OA9037) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 2OA9037) | |
Enumeration Date | 2006-10-26 |
Last Update Date | 2010-07-04 |