NPI | 1720407745 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 84032) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 84032) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 84032) | |
Enumeration Date | 2014-04-08 |
Last Update Date | 2022-03-02 |