| NPI | 1689290181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2023008498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023008498) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2024-05-31 |