| NPI | 1154464162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD446149) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MO 2003014723) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-13 |