| NPI | 1205858917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G47681) |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology (Licence: CA G47681) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G47681) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA G47681) | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CA G47681) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: CA G47681) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA G47681) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA G47681) | |
| 207RI0008X Internal Medicine Hepatology (Licence: CA G47681) | |
| 207RI0200X Internal Medicine Infectious Disease (Licence: CA G47681) | |
| 207RN0300X Internal Medicine Nephrology (Licence: CA G47681) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G47681) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: CA G47681) | |
| 207RS0010X Internal Medicine Sports Medicine (Licence: CA G47681) | |
| 207RA0000X Internal Medicine Adolescent Medicine (Licence: CA G47681) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2014-07-31 |