| NPI | 1831378439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 52324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS013981) |
| 207R00000X Internal Medicine (Licence: MN 104413) | |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2020-06-19 |