| NPI | 1437476223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR DO161382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP60802412) |
| 207R00000X Internal Medicine (Licence: CA 20A16274) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2021-02-11 |