NPI | 1811331192 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2016039972) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2016039972) |
Enumeration Date | 2013-04-17 |
Last Update Date | 2021-09-15 |