NPI | 1457580334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S3114) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S3114) |
Enumeration Date | 2009-07-13 |
Last Update Date | 2020-10-30 |