NPI | 1710341664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0070999) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069004) |
Enumeration Date | 2016-04-07 |
Last Update Date | 2023-08-07 |