NPI | 1902856362 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 168487) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 168487) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 168487) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2007-07-08 |