NPI | 1740302561 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P6655) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2007004402) |
207R00000X Internal Medicine (Licence: TX P6655) | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2013-12-31 |