| NPI | 1588191498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2025013440) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 2025013440) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2025-09-10 |