| NPI | 1518120633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA 41014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246408) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 54611) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 105450) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-05-30 |