| NPI | 1164805479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 4354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 4354) |
| 207R00000X Internal Medicine (Licence: TN 4345) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MS 28725) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2021-12-21 |