| NPI | 1730230566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2009-00327) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2009-00327) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2009-00327) | |
| 207R00000X Internal Medicine (Licence: NC 2009-00327) | |
| 207R00000X Internal Medicine (Licence: GA 34679) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2021-06-15 |