| NPI | 1053548495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01075562A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195032) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2018-03-17 |