NPI | 1356684872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME139338) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD463791) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD463791) | |
Enumeration Date | 2013-04-03 |
Last Update Date | 2023-04-19 |