NPI | 1558553792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 002917) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 002917) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 002917) | |
Enumeration Date | 2007-08-13 |
Last Update Date | 2010-05-06 |