| NPI | 1275500472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 023309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101229148) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101229148) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2021-08-02 |