NPI | 1508833815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 149778) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 32556) |
Enumeration Date | 2006-03-06 |
Last Update Date | 2011-01-31 |