| NPI | 1194926063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD d67210) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 059444) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2015-12-30 |