| NPI | 1003838681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301108689) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301108689) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 6606) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-03-17 |