| NPI | 1043650799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2017040028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103058) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 320596) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD479598) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2023-02-27 |