NPI | 1336145556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 234323) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 234323) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2015-10-07 |