| NPI | 1003236191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A14597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A14597) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2019-07-16 |