| NPI | 1033179429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 37478) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 1033179429) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-11-10 |