| NPI | 1609052935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 241303) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241303) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2012-05-09 |