| NPI | 1578665949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-084523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036084523) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 38679-20) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-05-16 |