| NPI | 1831215581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101264884) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME84299) |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL ME84299) | |
| 208M00000X Hospitalist (Licence: FL ME84299) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-08-03 |