| NPI | 1982610069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 56450) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301111141) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA 60077471) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01087691A) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-07-20 |