| NPI | 1205286432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME156511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069353) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2022-06-06 |