| NPI | 1295748580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D70958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D70958) |
| 207R00000X Internal Medicine (Licence: LA 200389) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2018-12-14 |