NPI | 1265896369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA md480472) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD480472) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2023-08-08 |