NPI | 1316007503 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 9999999) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 00027008) |
207R00000X Internal Medicine (Licence: CA A96549) | |
Enumeration Date | 2006-12-11 |
Last Update Date | 2023-12-14 |