| NPI | 1669544037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301044132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0061434) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-12-29 |