NPI | 1932103520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G17728) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G17728) |
Enumeration Date | 2005-06-10 |
Last Update Date | 2011-10-04 |