NPI | 1679006068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 83387-20) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01083393A) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2024-06-26 |