NPI | 1992785588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301082542) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301082542) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2018-03-17 |