NPI | 1184185704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 68281) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30006) |
207R00000X Internal Medicine (Licence: MN 68281) | |
Enumeration Date | 2019-03-27 |
Last Update Date | 2022-07-01 |