NPI | 1629392527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PR 17825) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PR 17825) |
Enumeration Date | 2010-03-22 |
Last Update Date | 2015-06-02 |