NPI | 1548595127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A114612) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A114612) |
Enumeration Date | 2009-10-15 |
Last Update Date | 2022-02-01 |