NPI | 1861704850 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q7079) |
Additional Taxonomies | 208600000X Surgery (Licence: TX Q7079) |
Enumeration Date | 2010-07-08 |
Last Update Date | 2025-02-07 |