NPI | 1871900720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 310270-01) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD473034) |
Enumeration Date | 2014-07-11 |
Last Update Date | 2021-08-03 |