| NPI | 1174199715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS23564) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS024658) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2026-09-03 |