| NPI | 1346793312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA 172630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068016) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2021-07-13 |