NPI | 1891030268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 85774) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101259016) |
207R00000X Internal Medicine (Licence: MD D0084520) | |
Enumeration Date | 2012-12-11 |
Last Update Date | 2024-07-10 |