| NPI | 1013983501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101057896) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01076306A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0080533) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2024-01-22 |