NPI | 1003127135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD457532) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD457532) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD457532) | |
Enumeration Date | 2010-06-23 |
Last Update Date | 2019-09-12 |