NPI | 1790342699 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A179430) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A179430) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A179430) | |
Enumeration Date | 2019-05-26 |
Last Update Date | 2024-08-15 |