| NPI | 1578503173 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 09403) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 9403) | 
| Enumeration Date | 2006-06-08 | 
| Last Update Date | 2024-02-01 |