NPI | 1487787131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS013067) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS013067) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2011-12-08 |