NPI | 1023320280 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 22622) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO1259) |
207R00000X Internal Medicine (Licence: MS 22622) | |
Enumeration Date | 2010-07-04 |
Last Update Date | 2018-12-13 |