NPI | 1114456290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 24457) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017018385) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2020013285) | |
Enumeration Date | 2017-06-12 |
Last Update Date | 2023-07-19 |