| NPI | 1770780835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C170028) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA md441174) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 85105) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S9431) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2025-08-30 |