| NPI | 1194284307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD210011577) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD210011577) |
| 207R00000X Internal Medicine (Licence: MD D0104834) | |
| 207R00000X Internal Medicine (Licence: LA 329904) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2026-01-06 |