NPI | 1477914265 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NE 1703) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NE 1703) |
207R00000X Internal Medicine (Licence: NE 1703) | |
Enumeration Date | 2016-03-08 |
Last Update Date | 2024-01-17 |