NPI | 1750777355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: UT 13896067-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 97253) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: UT 13896067-1205) | |
Enumeration Date | 2015-04-09 |
Last Update Date | 2024-04-09 |