| NPI | 1093788440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: HI 15983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME91759) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 51973) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2022-07-21 |