NPI | 1720062300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 150732) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 150732) |
207R00000X Internal Medicine (Licence: MA 150732) | |
Enumeration Date | 2005-12-06 |
Last Update Date | 2007-07-08 |