| NPI | 1992750434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2012-00915) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 2012-00915) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA PGY1.200006) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME135217) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-09-06 |