| NPI | 1548220213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 265860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 5027) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2016-06-24 |