| NPI | 1902870660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD422959) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD422959) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2022-07-11 |