| NPI | 1275741340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2009033374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007008275) |
| 207R00000X Internal Medicine (Licence: PA MT 183879) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2009033374) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2022-07-21 |