NPI | 1588042725 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 52048) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016391) |
Enumeration Date | 2015-05-07 |
Last Update Date | 2021-08-19 |