NPI | 1699751925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 31977) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 31977) |
207R00000X Internal Medicine (Licence: GA 31977) | |
Enumeration Date | 2005-12-19 |
Last Update Date | 2014-07-08 |