NPI | 1366934077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01096544A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301115426) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036.156772) | |
Enumeration Date | 2018-05-30 |
Last Update Date | 2025-09-02 |