| NPI | 1952309437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A7641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A7641) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2016-07-26 |