| NPI | 1912526377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D98178) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD210012056) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0098178) | |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2025-11-10 |