NPI | 1154302040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD018715E) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD018715E) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD018715E) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD018715E) | |
Enumeration Date | 2005-11-08 |
Last Update Date | 2010-04-22 |