NPI | 1619959186 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 218321) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 218321) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 218321) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME106207) | |
Enumeration Date | 2005-11-18 |
Last Update Date | 2023-11-02 |