NPI | 1417185273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A120221) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 253745) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2020-10-28 |