NPI | 1558746321 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5315241403) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.145173) |
207R00000X Internal Medicine (Licence: CT 57033) | |
Enumeration Date | 2015-07-22 |
Last Update Date | 2024-10-10 |