| NPI | 1154620771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036141067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036141067) |
| 207R00000X Internal Medicine (Licence: WI 57091) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2023-06-15 |