| NPI | 1285085464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME161704) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267235) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-08-19 |