| NPI | 1538350327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2012-00349) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL TRN11826) |
| 207R00000X Internal Medicine (Licence: PA MT185485) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2012-00349) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2021-09-02 |