NPI | 1861915563 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD480452) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 388) |
Enumeration Date | 2017-07-25 |
Last Update Date | 2024-03-21 |