NPI | 1861856411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2024-01022) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01085780A) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2024-01022) | |
208000000X Pediatrics (Licence: IN 01085780A) | |
Enumeration Date | 2016-04-11 |
Last Update Date | 2024-09-18 |