| NPI | 1558539924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME146256) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 000000000000) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2016-02073) | |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2024-01-25 |