NPI | 1356495980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D68500) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D68500) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D68500) | |
Enumeration Date | 2007-01-22 |
Last Update Date | 2019-10-11 |