| NPI | 1467444950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-107055) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301095807) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2005000579) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 46429-020) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2019-07-25 |