NPI | 1780071621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 56165) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 56165) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 56165) | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2024-02-06 |