NPI | 1922376623 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME137245) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 824-L) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 60502) | |
Enumeration Date | 2011-12-08 |
Last Update Date | 2023-04-19 |