| NPI | 1285916627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-8636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009004962) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2014-07-17 |