NPI | 1417083841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 239979) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-228865) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 239979) | |
208000000X Pediatrics (Licence: MA 239979) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2013-03-07 |