| NPI | 1699047621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 276648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 276648) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.144255) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 30556) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 30556) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 276648) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2022-02-10 |