NPI | 1124187695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 071977) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.063135) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2015-07-31 |