NPI | 1972656429 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A11835) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A11835) |
207R00000X Internal Medicine (Licence: NY 231972) | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2025-04-19 |