NPI | 1295738649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX J7414) |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX J7414) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX J7414) | |
208D00000X General Practice (Licence: TX J7414) | |
Enumeration Date | 2005-05-31 |
Last Update Date | 2024-11-11 |