| NPI | 1356608335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OR DO168925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO168925) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2024-03-07 |