NPI | 1962583104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: CA A43804) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A43804) |
207R00000X Internal Medicine (Licence: CA A43804) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A43804) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A43804) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2023-03-07 |