NPI | 1700815461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA a 49502) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A49528) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA a49528) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2009-07-02 |