| NPI | 1265967046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 100814) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.070467) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2023-08-04 |