NPI | 1982850863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 51848) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 51848) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND pt12754) | |
Enumeration Date | 2008-08-12 |
Last Update Date | 2013-07-03 |