NPI | 1124253661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D79706) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D79706) |
207R00000X Internal Medicine (Licence: MD D79706) | |
Enumeration Date | 2009-05-28 |
Last Update Date | 2016-03-16 |