| NPI | 1457384752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 059524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301062489) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301062489) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-02-24 |