NPI | 1497944805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A99158) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99158) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2022-08-11 |