| NPI | 1588826580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101251781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 40697) |
| 207R00000X Internal Medicine (Licence: VA 0101251781) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2022-03-29 |