| NPI | 1013137918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 49456) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35092784) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 2194) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60683623) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2022-08-16 |