| NPI | 1609839448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 29802) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 29802) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 29802) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2019-10-22 |