| NPI | 1770585325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 24180) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 24180) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2016-11-01 |