| NPI | 1346249125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA OS013009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS013009) |
| 207R00000X Internal Medicine (Licence: MA 227083) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 227083) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-11 |