| NPI | 1275748949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A129752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087430) |
| 207R00000X Internal Medicine (Licence: AZ 44550) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-05-28 |