| NPI | 1285261552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 80110) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 80110-21) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2026-01-07 |