| NPI | 1538362066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME124518) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2019-00112) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101270871) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-10-12 |