| NPI | 1275507295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD041714E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD041714E) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-12-08 |