| NPI | 1386660157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA AC9490929) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA AC9490929) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA AC9490929) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-08-08 |