| NPI | 1033604905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102208632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018021585) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0102208632) | |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2024-08-01 |