| NPI | 1245734821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 303915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD474036) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-06-05 |