| NPI | 1962668848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2008011068) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-9133) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2017-08-03 |