| NPI | 1386984003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS15914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT015160) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2023-06-23 |