| NPI | 1184815656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C144902) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245566) |
| 207R00000X Internal Medicine (Licence: CA C144902) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C144902) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA C144902) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2024-05-22 |