| NPI | 1851412340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AK 6783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2008-0675) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2016-08-16 |