NPI | 1356386296 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD020908E) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD020908E) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2016-09-20 |