| NPI | 1225451826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD466360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD466360) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 288553) | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2019-12-31 |