NPI | 1992290852 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2021014847) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018018670) |
Enumeration Date | 2018-06-24 |
Last Update Date | 2024-08-23 |