| NPI | 1497944805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A99158) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99158) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2022-08-11 |