NPI | 1669810123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 20A16993) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A16993) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2019-10-01 |