NPI | 1619315967 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 010565) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 000000000) |
207R00000X Internal Medicine (Licence: AR E-18646) | |
207R00000X Internal Medicine (Licence: PA OS017551) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 010565) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-18646) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID OC-0477) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA os017551) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB10086800) | |
Enumeration Date | 2013-06-10 |
Last Update Date | 2025-08-27 |