| NPI | 1003833633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS14965) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N5251) |
| 207P00000X Emergency Medicine (Licence: OH 34.010137) | |
| 207P00000X Emergency Medicine (Licence: IL 036084550) | |
| 207P00000X Emergency Medicine (Licence: WI 44861-21) | |
| 207P00000X Emergency Medicine (Licence: MS 13723) | |
| 207R00000X Internal Medicine (Licence: OH 34.010137) | |
| 207R00000X Internal Medicine (Licence: LA DO.000259) | |
| 207R00000X Internal Medicine (Licence: OK 7157) | |
| 207R00000X Internal Medicine (Licence: MS 13723) | |
| 207R00000X Internal Medicine (Licence: IA DO-04144) | |
| 207R00000X Internal Medicine (Licence: TX N5251) | |
| 207R00000X Internal Medicine (Licence: WI 44861-21) | |
| 207R00000X Internal Medicine (Licence: IL 036084550) | |
| 207R00000X Internal Medicine (Licence: FL OD14965) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-11-08 |