NPI | 1124414479 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 296852) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA D7279728) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2024-08-15 |