| NPI | 1467657056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD153593) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 71961) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61099515) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2025-10-07 |