| NPI | 1700871175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 008768) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV DO2227) |
| 207P00000X Emergency Medicine (Licence: MI 5101013187) | |
| 207R00000X Internal Medicine (Licence: MI 5101013187) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV DO2227) | |
| 207R00000X Internal Medicine (Licence: NV DO2227) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2021-12-17 |