| NPI | 1932353521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.128139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 44430) |
| Enumeration Date | 2008-11-09 |
| Last Update Date | 2024-11-19 |