| NPI | 1427108083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 47652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 7496) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM 47652) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM 7496) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-03-07 |