NPI | 1992814057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0067388) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60928407) |
207R00000X Internal Medicine (Licence: MD D0067388) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2022-06-15 |