| NPI | 1750918868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 77263-20) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 77263-20) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-01-22 |