NPI | 1144422510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX U6413) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U6413) |
207R00000X Internal Medicine (Licence: WA MD60513792) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 50351) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60513792) | |
Enumeration Date | 2007-06-05 |
Last Update Date | 2023-12-27 |