| 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 |