NPI | 1801939772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WY 9223A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P20609) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MT 76276) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C167782) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT 76276) | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2023-11-27 |