| NPI | 1386617389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101041528) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GU MTL-2024-023) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2024-12-29 |