| NPI | 1386736148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0065123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD036276) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2009-10-28 |