| NPI | 1033140587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 5619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101237954) |
| 207R00000X Internal Medicine (Licence: WV 22079) | |
| 207P00000X Emergency Medicine (Licence: WV 22079) | |
| 207P00000X Emergency Medicine (Licence: SD 5619) | |
| 207P00000X Emergency Medicine (Licence: GA 056590) | |
| 207P00000X Emergency Medicine (Licence: MD D64729) | |
| 207P00000X Emergency Medicine (Licence: MO 104762) | |
| 207P00000X Emergency Medicine (Licence: VA 0101237954) | |
| 207P00000X Emergency Medicine (Licence: WA MD00046396) | |
| 207R00000X Internal Medicine (Licence: MD D64729) | |
| 207R00000X Internal Medicine (Licence: GA 056590) | |
| 207R00000X Internal Medicine (Licence: WA MD00046396) | |
| 207R00000X Internal Medicine (Licence: MO 104762) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-02-29 |