NPI | 1407467038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 24230) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA GAA-NP000242) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2025-08-06 |