NPI | 1649532342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01079879A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01079879A) |
207R00000X Internal Medicine (Licence: KS 9407910) | |
Enumeration Date | 2012-06-09 |
Last Update Date | 2023-10-10 |