| NPI | 1508824384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 38234) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G64096) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G64096) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 38234) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2021-08-20 |