NPI | 1922002633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NE 18836) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 18836) |
207R00000X Internal Medicine (Licence: IA 33121) | |
207RC0200X Internal Medicine Critical Care Medicine (Licence: IA 33121) | |
207RC0200X Internal Medicine Critical Care Medicine (Licence: NE 18836) | |
207RP1001X Internal Medicine Pulmonary Disease (Licence: IA 33121) | |
Enumeration Date | 2005-06-09 |
Last Update Date | 2023-05-25 |