| NPI | 1992717953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C50183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C50183) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C50183) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA C50183) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2024-06-02 |