NPI | 1700805389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G074355) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G074355) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2007-07-08 |