NPI | 1124569314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: KY 05046) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 05046) |
Enumeration Date | 2017-03-20 |
Last Update Date | 2024-07-03 |