| NPI | 1487804902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NE 6445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054822) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2011-09-07 |