NPI | 1326019068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 046023) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA MCS009935A) |
207P00000X Emergency Medicine (Licence: VA 0101233341) | |
207P00000X Emergency Medicine (Licence: GA 046023) | |
207P00000X Emergency Medicine (Licence: TX N8162) | |
207P00000X Emergency Medicine (Licence: NH 23299) | |
207Q00000X Family Medicine (Licence: VA 0101233341) | |
207RC0200X Internal Medicine Critical Care Medicine (Licence: TX N8162) | |
2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: GA 046023) | |
Enumeration Date | 2006-01-31 |
Last Update Date | 2023-12-04 |