NPI | 1588619464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A54260) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A54260) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A54260) | |
Enumeration Date | 2006-05-23 |
Last Update Date | 2016-12-08 |