NPI | 1366678302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D72199) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC md037933) |
Enumeration Date | 2009-06-04 |
Last Update Date | 2011-11-14 |