| NPI | 1841435245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME117172) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 246220) |
| 207R00000X Internal Medicine (Licence: NY 246220) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MT195864) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA 441373) | |
| 207P00000X Emergency Medicine (Licence: PA 441373) | |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2016-11-15 |