| NPI | 1750551503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A96205) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A96205) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A96205) | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2026-01-18 |