NPI | 1578536512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 33934) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 33934) |
Enumeration Date | 2006-02-09 |
Last Update Date | 2018-03-19 |