NPI | 1649538786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 20A16216) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A16216) |
207R00000X Internal Medicine (Licence: TX Q4811) | |
Enumeration Date | 2012-04-26 |
Last Update Date | 2021-05-06 |