| NPI | 1518998426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 4792) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 4792) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MT 4792) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-01-11 |