NPI | 1679962419 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 83785) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 83785) |
207R00000X Internal Medicine (Licence: IL 125066754) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 83785) | |
Enumeration Date | 2015-01-16 |
Last Update Date | 2024-03-07 |