| NPI | 1699861518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A90360) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME139309) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME139309) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01082890A) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME139309) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2019-09-30 |