NPI | 1831771617 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0116035048) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0116035048) |
Enumeration Date | 2021-04-22 |
Last Update Date | 2024-07-01 |