| NPI | 1518252212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME126966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A135675) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09646900) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 201501524) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2020-07-13 |