| NPI | 1841258928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 22463) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 1841258928) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2008-08-19 |