| NPI | 1083607428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: HI MD-22119) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A76930) |
| 174400000X Specialist (Licence: CA A76930) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2022-08-30 |