| NPI | 1205217254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A178563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.133383) |
| 207R00000X Internal Medicine (Licence: CA A178563) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-07-05 |