| NPI | 1245551795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2013015508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02006680A) |
| 207R00000X Internal Medicine (Licence: MO 2013015508) | |
| 207R00000X Internal Medicine (Licence: TN DO2344) | |
| 207R00000X Internal Medicine (Licence: KY 03666) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: KY 03666) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 02006680A) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 05-37065) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2022-10-04 |