| NPI | 1588615173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 50304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2003-0715) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-05-15 |