| NPI | 1265746119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 01074041A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P8633) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2021-04-12 |