| NPI | 1952803157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 85992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 00000) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D88446) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA 00000) | |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2021-11-22 |