NPI | 1982610069 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 56450) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301111141) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA 60077471) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01087691A) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2022-07-20 |