NPI | 1861636615 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A107250) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR 154500) |
Enumeration Date | 2009-04-23 |
Last Update Date | 2021-11-30 |