| NPI | 1538818471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 3017945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A22208) |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2025-06-10 |