| NPI | 1376742312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 61965-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009010646) |
| 207R00000X Internal Medicine (Licence: PA MD443321) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2021-0858) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P9053) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 61965) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2023-09-18 |