| NPI | 1609089101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS14196) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5101020161) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 8860) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 201000457) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2023-04-19 |