NPI | 1174557573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME80886) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME80886) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2022-07-21 |