| NPI | 1093726259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MT 27617) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301056070) |
| 207R00000X Internal Medicine (Licence: MI 4301056070) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301056070) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2018-04-10 |