| NPI | 1083729925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD425290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA md425290) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA md425290) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-08-29 |