| NPI | 1205824299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME84645) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME 84645) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2023-11-29 |