NPI | 1669649620 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101235715) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101235715) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2023-03-07 |