| NPI | 1922060045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2008-00042) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2008-00042) |
| 207R00000X Internal Medicine (Licence: MD D0059955) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0059955) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-10-26 |