| NPI | 1306985346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AK 6015) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM 2004-0412) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2016-10-04 |