| NPI | 1194709840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME0027970) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 38607) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 24530) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2007-07-08 |