| NPI | 1629049036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01064290A) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD422116) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2024-03-15 |