NPI | 1154464162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD446149) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2003014723) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2020-08-13 |