| NPI | 1912034315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 7832454-1205) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 173813) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD438151) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2017-02-17 |