NPI | 1467764050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S4868) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD175665) |
207R00000X Internal Medicine (Licence: OR MD175665) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD175665) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S4868) | |
Enumeration Date | 2010-07-12 |
Last Update Date | 2020-02-29 |