NPI | 1730366774 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 57524) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 49431) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 57524) | |
Enumeration Date | 2008-01-22 |
Last Update Date | 2024-09-10 |