| NPI | 1497149116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME151096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 65217) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME151096) | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2023-11-07 |