| NPI | 1134297161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A79307) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME128453) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 14327) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 215544) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 336494) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2024-02-07 |