| NPI | 1487144812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 68842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 22463) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 68842) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2025-02-28 |