NPI | 1275517336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME92451) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME92451) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2016-11-10 |