NPI | 1336293257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 046028) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 046028) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 046028) | |
Enumeration Date | 2007-01-22 |
Last Update Date | 2012-08-27 |