NPI | 1841618345 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 274328) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274328) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2021-11-17 |