NPI | 1598298614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME148897) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 97405) |
207R00000X Internal Medicine (Licence: CA A197098) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A197098) | |
207R00000X Internal Medicine (Licence: MI 4301500303) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2024-07-24 |