| NPI | 1245204395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS010352L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS010352L) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2025-11-19 |