| NPI | 1427430669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 342923) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-263066) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A154702) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 331280) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A154702) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2025-07-17 |