NPI | 1912252032 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD465143) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD465143) |
207R00000X Internal Medicine (Licence: MA 251828) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD465143) | |
Enumeration Date | 2012-07-14 |
Last Update Date | 2019-09-04 |