| NPI | 1285607465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 226573) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D66895) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD041360) | |
| 207R00000X Internal Medicine (Licence: MD D66895) | |
| 207R00000X Internal Medicine (Licence: DC MD041360) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2026-01-06 |