NPI | 1912332008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD H86241) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H86241) |
Enumeration Date | 2013-09-07 |
Last Update Date | 2020-02-04 |