NPI | 1295797629 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD450951) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N2116) |
207R00000X Internal Medicine (Licence: RI 11755) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 49748) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N2116) | |
Enumeration Date | 2006-04-03 |
Last Update Date | 2021-07-08 |