NPI | 1609826346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 81915) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 220169) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 220169) | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2023-01-11 |