| NPI | 1144464884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD443139) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD443139) |
| 207R00000X Internal Medicine (Licence: TX R6150) | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2021-01-21 |