| NPI | 1215970918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME109357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036113119) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036113119) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-07-21 |