NPI | 1144438128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 145074-1) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 145074) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2012-06-05 |