| NPI | 1033194998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 0045952) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 221275-01) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 3894) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2024-06-14 |