NPI | 1184666505 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 53294) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD436363) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD436363) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD436363) | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2022-07-21 |