NPI | 1306425582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ R3771) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151015032) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ R3771) | |
Enumeration Date | 2021-04-06 |
Last Update Date | 2025-07-02 |