| NPI | 1962465252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D57951) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D57951) |
| 207R00000X Internal Medicine (Licence: MD D57951) | |
| Enumeration Date | 2006-04-09 |
| Last Update Date | 2023-05-03 |