NPI | 1487620654 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2006-00801) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 41555) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2012-12-05 |