| NPI | 1225099138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA OS006705E) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MD H0030954) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: RI DO01048) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2024-02-29 |