NPI | 1376795559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01081506A) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301091975) |
207R00000X Internal Medicine (Licence: MI 4301091975) | |
Enumeration Date | 2008-10-19 |
Last Update Date | 2019-01-10 |