| NPI | 1972581312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 85640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 159323) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2021-09-01 |