NPI | 1306370135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D96793) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2021-00355) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2023-08-24 |