NPI | 1659309789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G71446) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G71446) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2018-12-05 |