| NPI | 1396907739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME130484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008017229) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2018-09-13 |