| NPI | 1699890525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 47767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015021505) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: MO 2015021505) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2024-05-09 |