NPI | 1225304215 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MN 61514) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 61514) |
207R00000X Internal Medicine (Licence: NY 274228-1) | |
207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 61514) | |
Enumeration Date | 2012-03-24 |
Last Update Date | 2021-09-28 |