| NPI | 1710943303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD158445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A116731) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 73190) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A116731) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2024-06-05 |