NPI | 1720062029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 70470) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 70470) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2024-05-16 |