NPI | 1487804902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NE 6445) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054822) |
Enumeration Date | 2008-09-19 |
Last Update Date | 2011-09-07 |