| NPI | 1851576243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 56582) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 56582) |
| 207R00000X Internal Medicine (Licence: IL 125049811) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 3236) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036120960) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2024-05-01 |