| NPI | 1275576134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 28023) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 15793R) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD.15793R) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 84943) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D76509) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 34241) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2012-00240) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-04-08 |