| NPI | 1053571638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2013-01227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 90092) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2021-03-25 |