| NPI | 1518288638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS12169) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO2429) |
| 207R00000X Internal Medicine (Licence: FL OS12169) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 68359) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2024-04-12 |