NPI | 1487606869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 225338) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 225338) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2016-06-08 |