| NPI | 1427186279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MO 2006037788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006037788) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-03-10 |