NPI | 1376512269 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 19249) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 19249) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2017-05-17 |