| NPI | 1720178163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 52516-20) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036096938) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 045568) | |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2024-05-23 |