| NPI | 1922245125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.127067) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2011009909) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C168709) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01086583A) | |
| Enumeration Date | 2009-01-10 |
| Last Update Date | 2023-10-05 |