| NPI | 1710274626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 42291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 42291) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2024-10-28 |