| NPI | 1386960979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D77970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD d0077970) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2019-09-10 |