NPI | 1508850181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA MD 00030055) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WA MD 00030055) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2016-09-28 |