NPI | 1922509736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME163146) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL 163146) |
Enumeration Date | 2018-02-27 |
Last Update Date | 2025-07-02 |