| NPI | 1356550891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101253352) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301079616) |
| 207P00000X Emergency Medicine (Licence: MD D75456) | |
| 207P00000X Emergency Medicine (Licence: VA 0101253352) | |
| 207R00000X Internal Medicine (Licence: MI 4301079616) | |
| 207R00000X Internal Medicine (Licence: VA 0101253352) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D75456) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301079616) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-03-30 |