| NPI | 1588895981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301106837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194770) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2015-10-19 |