| NPI | 1164959201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS21248) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO5362) |
| 207R00000X Internal Medicine (Licence: FL OS21248) | |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2025-08-08 |