NPI | 1245524909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 072394) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08934700) |
207R00000X Internal Medicine (Licence: GA 072394) | |
Enumeration Date | 2011-05-30 |
Last Update Date | 2020-10-23 |