NPI | 1982044723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R8756) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R8756) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R8756) | |
Enumeration Date | 2013-06-25 |
Last Update Date | 2019-06-25 |