NPI | 1295113975 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: SC TN4104) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 4104) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 88968) | |
Enumeration Date | 2015-05-13 |
Last Update Date | 2022-01-31 |