NPI | 1316288517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036167182) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020036098) |
207R00000X Internal Medicine (Licence: IL 036167182) | |
207R00000X Internal Medicine (Licence: OK 32065) | |
Enumeration Date | 2013-03-13 |
Last Update Date | 2023-12-13 |