NPI | 1568951614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD217752) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61098450) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61098450) | |
Enumeration Date | 2018-05-04 |
Last Update Date | 2025-06-12 |