NPI | 1619997608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL OS15753) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL OS15753) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: PA OS006510L) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2020-02-01 |