| NPI | 1174729784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD432354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT183290) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2023-01-11 |