| NPI | 1689187734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2018008464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36104175) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2022-09-14 |