| NPI | 1235215518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 40559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 40559) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2024-03-26 |