NPI | 1285756817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A112973) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085571) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A112973) | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2019-09-12 |