| NPI | 1699269498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A194793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09527) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2024-06-10 |