NPI | 1205241270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 53319) |
Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 53319) |
282N00000X General Acute Care Hospital (Licence: AZ R74579) | |
207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 53319) | |
Enumeration Date | 2014-06-27 |
Last Update Date | 2025-08-02 |