NPI | 1861432049 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2003003401) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2003003401) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2003003401) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2008-08-15 |