| NPI | 1811975006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D27163) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D27163) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2022-09-26 |