NPI | 1902210651 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-47940) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11081) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA R-11081) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-47940) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA R-11081) | |
Enumeration Date | 2014-06-19 |
Last Update Date | 2021-08-12 |