| NPI | 1821415019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0091740) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD463342) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0091740) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0091740) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2025-09-02 |