| NPI | 1760041776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101270958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101270958) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-08-12 |