| NPI | 1528282456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 062072) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD430505) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME106728) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2022-09-26 |