| NPI | 1619315967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID OC-0477) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS017551) |
| 207R00000X Internal Medicine (Licence: NY 000000000) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA os017551) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB10086800) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2024-08-27 |