NPI | 1750466165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 215628) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 215628) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 215628) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2019-01-16 |