NPI | 1790105443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 5051010019) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5051010019) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2020-04-13 |