| NPI | 1558469916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 5681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 5681) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-03-15 |