NPI | 1205038296 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301088206) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U0373) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX U0373) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX U0373) | |
Enumeration Date | 2007-06-03 |
Last Update Date | 2022-10-20 |