| NPI | 1003041815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME108555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 24312) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101267891) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 246774) | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2023-08-15 |