NPI | 1851484398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60630895) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME108318) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME108318) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME108318) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2021-01-18 |