NPI | 1285987552 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 90273) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01075577A) |
Enumeration Date | 2012-10-23 |
Last Update Date | 2022-01-03 |