| NPI | 1518319268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.161256) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39779) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2022-07-20 |