| NPI | 1417252362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: HI MD-17975) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a115142) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2023-05-15 |