NPI | 1144516162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 078086) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 4818) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2025-01-06 |