| NPI | 1730212010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 61337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G49243) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G49243) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2026-01-06 |