| NPI | 1437131422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MT 68318) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60638958) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 0442921) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101268966) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX G9448) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SD 7889) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-12-04 |