| NPI | 1477860302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME133875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058980) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-131429) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2020-08-28 |