| NPI | 1295084564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 37926) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME159818) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 37926) | |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2023-02-03 |