NPI | 1134356017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.099090) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.099090) |
Enumeration Date | 2009-06-17 |
Last Update Date | 2022-02-03 |