NPI | 1124557665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: SC 89893) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: SC 89893) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2023-12-22 |