NPI | 1972577823 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 31062) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 31062) |
Enumeration Date | 2006-02-16 |
Last Update Date | 2024-03-05 |