NPI | 1063917839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME146678) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME146678) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2025-06-24 |