NPI | 1134655608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.166467) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.166467) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.166467) | |
Enumeration Date | 2017-05-03 |
Last Update Date | 2023-08-22 |