NPI | 1871533893 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME76921) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME76921) |
207R00000X Internal Medicine (Licence: FL ME76921) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2019-09-26 |