| NPI | 1457510059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D74074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 332724) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 332724) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101243990) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2022-08-22 |