NPI | 1255480059 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D62099) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D0062099) |
207R00000X Internal Medicine (Licence: MD D0062099) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0062099) | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2017-06-23 |