| NPI | 1528032323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD042024L) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD042024L) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2022-02-10 |