| NPI | 1760454789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OR MD22527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD22527) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-11-26 |