NPI | 1669903043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2022044316) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022044316) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2022044316) | |
Enumeration Date | 2017-03-27 |
Last Update Date | 2024-07-02 |