| NPI | 1215967005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD430502) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA04688500) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD430502) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2013-12-09 |