| NPI | 1023320280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 22622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO1259) |
| 207R00000X Internal Medicine (Licence: MS 22622) | |
| Enumeration Date | 2010-07-04 |
| Last Update Date | 2018-12-13 |