| NPI | 1821159088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA 60002704) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD34030) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0086422) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2024-09-08 |