| NPI | 1346486446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 84750) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35 123374) |
| 207P00000X Emergency Medicine (Licence: IN 01077730A) | |
| 207R00000X Internal Medicine (Licence: OH 35123374) | |
| 207R00000X Internal Medicine (Licence: IN 01077730A) | |
| 207R00000X Internal Medicine (Licence: NC 2021-00949) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35123374) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01077730A) | |
| Enumeration Date | 2008-12-20 |
| Last Update Date | 2023-10-19 |