NPI | 1295084564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 37926) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME159818) |
207RI0200X Internal Medicine, Infectious Disease (Licence: AL 37926) | |
Enumeration Date | 2012-09-02 |
Last Update Date | 2023-02-03 |