NPI | 1447770003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 007747) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS18395) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS18395) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 007747) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS18395) | |
Enumeration Date | 2017-06-26 |
Last Update Date | 2025-05-14 |