| NPI | 1033173257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS012450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS012450) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5101018545) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2021-08-14 |