| NPI | 1083650105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN MD37069) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: KY C2791) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-08-13 |