NPI | 1639497183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 274826) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 274826) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01078968A) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 274826) | |
Enumeration Date | 2010-05-07 |
Last Update Date | 2022-11-08 |