| NPI | 1174756837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME133927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036130129) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036130129) | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2017-11-08 |