NPI | 1184856965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01087359A) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 278597) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 278597-1) | |
Enumeration Date | 2009-08-12 |
Last Update Date | 2022-10-17 |