| NPI | 1710905302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200400523) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 200400523) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-07-15 |