| NPI | 1588026280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 1019328) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 064891) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-09-30 |