| NPI | 1477623247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 25288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 25288) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-08-26 |