NPI | 1972001667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101267435) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101267435) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101267435) | |
Enumeration Date | 2018-01-27 |
Last Update Date | 2024-07-23 |