| NPI | 1205013919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 330480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6851434-1205) |
| 207R00000X Internal Medicine (Licence: NM MD2009-0545) | |
| 207R00000X Internal Medicine (Licence: LA 330480) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 15618) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME139631) | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2022-05-17 |