NPI | 1619301488 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 20A10775) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A10775) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A10775) | |
Enumeration Date | 2013-08-28 |
Last Update Date | 2021-12-16 |