NPI | 1790030286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A154515) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A154515) |
Enumeration Date | 2012-07-20 |
Last Update Date | 2025-02-25 |