| NPI | 1427410869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 315422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.135550) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-08-14 |