NPI | 1528326089 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-42365) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-42365) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-42365) | |
Enumeration Date | 2012-05-02 |
Last Update Date | 2019-06-29 |