NPI | 1740284702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 217759) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 217759) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 217759) | |
Enumeration Date | 2005-06-08 |
Last Update Date | 2011-04-21 |