| NPI | 1578536512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 33934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 33934) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2018-03-19 |