NPI | 1457647729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 74071) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 62350) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 29047) | |
Enumeration Date | 2011-06-24 |
Last Update Date | 2025-06-19 |