NPI | 1598076093 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA a149524) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a149524) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 55920) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA a149524) | |
Enumeration Date | 2010-06-29 |
Last Update Date | 2021-03-19 |