| NPI | 1790923969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID OC-0415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016483) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 062124) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5101016483) | |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2024-02-05 |