| NPI | 1639232143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD428773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD428773) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2019-10-14 |