| NPI | 1346402153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2012-01207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-01207) |
| 207R00000X Internal Medicine (Licence: SC 30827) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2024-01-19 |