NPI | 1740716000 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2021-00610) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 227243) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2021-00610) | |
Enumeration Date | 2017-05-05 |
Last Update Date | 2024-07-04 |