NPI | 1457366502 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME157716) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P4803) |
207RI0200X Internal Medicine, Infectious Disease (Licence: TX P4803) | |
Enumeration Date | 2006-07-29 |
Last Update Date | 2022-10-14 |