| NPI | 1598705196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A90441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90441) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-10-01 |