NPI | 1386871325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 46193) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R71506) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 46193) | |
Enumeration Date | 2009-06-17 |
Last Update Date | 2024-08-20 |