NPI | 1356546527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 076066) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440398) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2024-02-20 |