NPI | 1447780564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD063101L) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD063101L) |
Enumeration Date | 2017-06-13 |
Last Update Date | 2018-01-03 |