NPI | 1760564678 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301069535) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301069535) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301069535) | |
Enumeration Date | 2006-10-19 |
Last Update Date | 2019-07-31 |