NPI | 1396124749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A145895) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A145895) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 295561) | |
Enumeration Date | 2015-05-19 |
Last Update Date | 2024-05-20 |