| NPI | 1003902834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G83871) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA CC6838711) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2025-01-15 |