| NPI | 1285602128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 15971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000015971) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-05-16 |