NPI | 1568789485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.147835) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 66060) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 66060) | |
Enumeration Date | 2010-05-03 |
Last Update Date | 2024-10-18 |