NPI | 1548223464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 73395-20) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX L4554) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX L4554) | |
Enumeration Date | 2006-04-11 |
Last Update Date | 2020-06-10 |