| NPI | 1295113975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: SC TN4104) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 4104) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 88968) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2022-01-31 |