| NPI | 1861654493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD P22871) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD P22871) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2018-06-19 |