NPI | 1427143064 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 84148) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 98-00328) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 98-00328) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 9800328) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2021-07-01 |