NPI | 1407088123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301094495) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301094495) |
207R00000X Internal Medicine (Licence: MI 4301094495) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301094495) | |
Enumeration Date | 2009-08-13 |
Last Update Date | 2021-12-16 |