| NPI | 1053322172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS18323) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A9545) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 83201) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 336094) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 4442) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2025-07-30 |