NPI | 1225390529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 18028) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 18028) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NH 21761) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 18028) | |
Enumeration Date | 2012-06-12 |
Last Update Date | 2021-09-14 |