| NPI | 1396794731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS0081952) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 1961) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 34007630) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-10-14 |