| NPI | 1093025629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101261458) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MT198671) |
| 207R00000X Internal Medicine (Licence: TX P5913) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 01076397A) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX P5913) | |
| Enumeration Date | 2010-10-17 |
| Last Update Date | 2023-08-03 |