| NPI | 1922376623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME137245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 824-L) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 60502) | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2023-04-19 |