| NPI | 1386104347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.157666) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-157666) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2025-06-20 |