| NPI | 1700047057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 52879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 51758) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 11754) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 51758) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-03-11 |