NPI | 1699265587 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 65957) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 65957) |
207R00000X Internal Medicine (Licence: MN 29598) | |
Enumeration Date | 2018-05-16 |
Last Update Date | 2021-06-23 |