| NPI | 1720053655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35-05-8719-P) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01062225A) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2016-07-01 |