NPI | 1720584519 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 5145) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT018372) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2025-07-11 |