| NPI | 1548229925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 35294) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00021924) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101227824) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2012037641) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR44522) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 29461) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 0436090) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E7784) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 36119) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-09-07 |