| NPI | 1992814057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MD D0067388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60928407) |
| 207R00000X Internal Medicine (Licence: MD D0067388) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-06-15 |