NPI | 1891715058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD05216) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD05216) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD05216) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2007-07-08 |