NPI | 1982660767 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101054177) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101054177) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2013-03-01 |