| NPI | 1831578822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 37636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL37636) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2021-07-15 |