NPI | 1427357987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3086) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 15257) |
207R00000X Internal Medicine (Licence: AZ 62308) | |
207RC0200X Internal Medicine Critical Care Medicine (Licence: NV 15257) | |
207RC0200X Internal Medicine Critical Care Medicine (Licence: ID MC-2614) | |
207RP1001X Internal Medicine Pulmonary Disease (Licence: NV 15257) | |
Enumeration Date | 2011-03-23 |
Last Update Date | 2024-02-08 |