| NPI | 1487941472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MO 2019036147) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP20048178) |
| 207R00000X Internal Medicine (Licence: MO 2019036147) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2024-10-04 |