| NPI | 1356609473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA 20A13951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A13951) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA 20A13951) | |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: CA 20A13951) | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2024-09-10 |