NPI | 1619465747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.169431) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.169431) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2024-06-25 |