NPI | 1174659239 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 60057) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N5319) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N5319) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 60057) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 60057) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N5319) | |
Enumeration Date | 2007-02-25 |
Last Update Date | 2020-10-15 |