| NPI | 1851689673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD AU4176435-M999110988) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 274534) |
| 207R00000X Internal Medicine (Licence: MA 274534) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 274534) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 274534) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2023-06-15 |