NPI | 1821409319 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 53445) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 53445) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0065750) | |
Enumeration Date | 2014-05-19 |
Last Update Date | 2023-09-20 |