NPI | 1558894030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D98030) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T4364) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT MED-PHYS-LIC-100152) | |
Enumeration Date | 2017-04-11 |
Last Update Date | 2023-08-24 |