| NPI | 1609885151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301080157) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101268545) |
| 207R00000X Internal Medicine (Licence: MI 4301080157) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35135469) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101268454) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-12-01 |