| NPI | 1194709394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D47288) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 19274) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD 055858 L) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2022-05-12 |