| NPI | 1275715310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 51109-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD156703) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2021-04-05 |