| NPI | 1821035684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO R4E84) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 64144-20) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036139688) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301505795) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-05-10 |