| NPI | 1619470440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS17586) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS17586) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2024-12-27 |