NPI | 1407059108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD27818) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD27818) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2023-07-21 |