NPI | 1740539733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301101283) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301101283) |
207R00000X Internal Medicine (Licence: MI 4301101283) | |
Enumeration Date | 2012-09-05 |
Last Update Date | 2024-05-20 |