NPI | 1407205115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 278473) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 278473) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 278473) | |
Enumeration Date | 2016-06-03 |
Last Update Date | 2022-04-28 |