| NPI | 1487633905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 064472) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ME 012934) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2015-12-30 |