NPI | 1639204753 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD d66267) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD d66267) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2010-04-14 |