NPI | 1740554328 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A122982) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A122982) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A122982) | |
Enumeration Date | 2012-02-29 |
Last Update Date | 2020-03-30 |