| NPI | 1134217441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E-5847) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ MA52357) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD044300E) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA52357) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD0443000E) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2009-02-23 |