| NPI | 1043430010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 14416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 246776) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 48691) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-03-17 |