NPI | 1669681268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA 60026895) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60026895) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA 60026895) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2021-05-18 |