NPI | 1124524103 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX U3687) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX U3687) |
Enumeration Date | 2018-03-30 |
Last Update Date | 2024-06-28 |