| NPI | 1790759553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD426381) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD426381) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2025-04-15 |