| NPI | 1952939290 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS20016) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 1952939290) | 
| Enumeration Date | 2020-03-31 | 
| Last Update Date | 2025-10-08 |