NPI | 1861832347 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301103357) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103357) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301103357) | |
Enumeration Date | 2013-06-28 |
Last Update Date | 2016-07-04 |