NPI | 1821432766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2021030256) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 101579) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2021030256) | |
Enumeration Date | 2013-04-22 |
Last Update Date | 2024-08-30 |