| NPI | 1558435107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME73818) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 73818) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID M-10646) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-03-02 |