NPI | 1902015167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 54572-021) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 54572-021) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2021-11-23 |