| NPI | 1114145307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS015401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT012009) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS015401) | |
| 208000000X Pediatrics (Licence: PA OT012009) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-03-15 |