| NPI | 1548553795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0058491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 16271) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2018-06-08 |