NPI | 1720267446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60264399) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 103455) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60264399) | |
207R00000X Internal Medicine (Licence: WA MD60264399) | |
Enumeration Date | 2007-10-30 |
Last Update Date | 2012-07-20 |