| NPI | 1487605085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: ME MD16907) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 48749) |
| 174400000X Specialist (Licence: MN 102357) | |
| 207R00000X Internal Medicine (Licence: MN 48749) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-09-19 |