NPI | 1528334646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB11888800) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS13065) |
Enumeration Date | 2012-03-23 |
Last Update Date | 2023-11-22 |