| NPI | 1073742409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 97658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274517) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2024-05-31 |