| NPI | 1346650942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AR E-14930) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A147056) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 49876) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-07-25 |