NPI | 1518003672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D84190) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00047468) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00047468) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2018-03-17 |