| NPI | 1639343395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101248085) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY P42907) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2021-04-21 |