| NPI | 1295797629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD450951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N2116) |
| 207R00000X Internal Medicine (Licence: RI 11755) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 49748) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX N2116) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2021-07-08 |