| NPI | 1699187344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-081409) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301058232) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 31033) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2022-12-06 |