| NPI | 1013968080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D69403) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX U4431) |
| 207P00000X Emergency Medicine (Licence: LA 024342) | |
| 207P00000X Emergency Medicine (Licence: GA 057221) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX U4431) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 057221) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 024342) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D69403) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2023-08-18 |