| NPI | 1922041847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301084692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315019905) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2014-09-12 |