| NPI | 1245813542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ME MD29127) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT222617) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2026-06-01 |