| NPI | 1386886216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101262411) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: HI MD-15201) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2025-09-15 |