| NPI | 1023094406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA 33889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 33889) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 29910) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.153854) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 65495) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2024-01-26 |