| NPI | 1619063856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01070366A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2005023731) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-06-29 |