| NPI | 1306287214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036139801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064227) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD045629) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 72320) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 75833) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC MD045269) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 3842-320) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2024-03-15 |