NPI | 1467748483 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 083056) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD20658) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 083056) | |
Enumeration Date | 2011-06-28 |
Last Update Date | 2022-07-21 |