NPI | 1962668848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2008011068) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-9133) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2017-08-03 |