| NPI | 1437406865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME145764) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036135900) |
| 207R00000X Internal Medicine (Licence: OH 35.127814) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.127814) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2020-10-02 |