| NPI | 1780869743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2019-0746) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD.203214) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D78283) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2023-09-14 |