NPI | 1972036671 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A156917) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A156917) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A156917) | |
Enumeration Date | 2017-04-10 |
Last Update Date | 2024-08-06 |