| NPI | 1972736890 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036155515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01727) |
| 207R00000X Internal Medicine (Licence: MA 253512) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD14115) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: RI MD14115) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NH 19787) | |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2022-09-16 |