NPI | 1477811610 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036145260) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036145260) |
Enumeration Date | 2012-04-25 |
Last Update Date | 2023-03-10 |