NPI | 1275583585 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 31600) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 31600) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2011-01582) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2011-01582) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2022-08-19 |