| NPI | 1073574380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C138416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101237730) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME69825) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101237730) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA C138416) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2018-08-29 |