NPI | 1265419659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 46478) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 46478) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2018-06-22 |