| NPI | 1003203142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 96415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME141138) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2026-03-17 |