NPI | 1689037194 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO 2019019689) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019019689) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2024-04-25 |