| NPI | 1952506198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2006039226) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: HI MD-20090) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2026-06-26 |