NPI | 1790735264 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MN 22353) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 22353) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2015-12-17 |