| NPI | 1235126434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME148102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D00612264) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 159488) | |
| 207R00000X Internal Medicine (Licence: MA 159488) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0061264) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2026-06-16 |