| NPI | 1790896009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A78902) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA a78902) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |