| NPI | 1811938947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 239121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 239121) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 049160) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-12-03 |