| NPI | 1588640098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 40761) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 40761) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2020-11-10 |