NPI | 1639343395 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101248085) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY P42907) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2021-04-21 |