NPI | 1114453925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 13378757-1204) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT017710) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-03-22 |