| NPI | 1699986133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD494332) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0076524) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2012-01503) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2026-06-15 |