| NPI | 1891927810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 53181) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446116) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T7484) | |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2022-07-19 |