NPI | 1114931631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD038629E) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD038629E) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2019-09-19 |