NPI | 1366624173 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101039942) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101039942) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101039942) | |
Enumeration Date | 2007-12-04 |
Last Update Date | 2019-08-26 |