| NPI | 1639344963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV DO2441) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 57113) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A13497) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 34.009823) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NV DO2441) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2018-09-21 |