NPI | 1861471641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME96539) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME96539) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME96539) | |
Enumeration Date | 2006-01-11 |
Last Update Date | 2015-04-23 |