NPI | 1003201625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 66833-20) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 309895) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 66833) | |
207R00000X Internal Medicine (Licence: WI 66833-20) | |
Enumeration Date | 2015-03-31 |
Last Update Date | 2022-02-08 |