| NPI | 1821040353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 87431) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME43081) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01088744A) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2014-02018) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 31668) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2026-07-09 |