NPI | 1164807152 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD225473) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD225473) |
207R00000X Internal Medicine (Licence: OR MD225473) | |
207R00000X Internal Medicine (Licence: PA MD464580) | |
Enumeration Date | 2015-07-20 |
Last Update Date | 2025-09-09 |