| NPI | 1184690208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101246088) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246088) |
| 207R00000X Internal Medicine (Licence: PA MD426177) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 101246088) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD426177) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101246088) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD426177) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2022-03-11 |