| NPI | 1578512877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.06275R) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD06275R) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2017-01-16 |