| NPI | 1114141066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.134208) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 237570) |
| 207R00000X Internal Medicine (Licence: NM rs20070414) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2021-09-02 |