NPI | 1528234374 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 40933) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 241024) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2008-12-08 |