NPI | 1548441827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MI 5101022162) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02003469A) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: TX BP10039113) | |
207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 02003469A) | |
207RP1001X Internal Medicine Pulmonary Disease (Licence: TX BP10039113) | |
207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 02003469A) | |
Enumeration Date | 2007-11-15 |
Last Update Date | 2023-02-26 |