NPI | 1801257712 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD210296) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A154233) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD210296) | |
Enumeration Date | 2016-03-19 |
Last Update Date | 2023-12-06 |