NPI | 1548838659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2024013821) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR-8071) |
Enumeration Date | 2021-06-15 |
Last Update Date | 2024-07-01 |