| NPI | 1518306901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 69075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268628) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-01-16 |