| NPI | 1023209871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD427243) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD427243) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PA MD427243) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD427243) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2022-07-06 |