NPI | 1548287550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 61093) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00046726) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2022-05-19 |