NPI | 1912261736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A164583) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A164583) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2019-10-15 |