NPI | 1396988523 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD451104) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD451104) |
207R00000X Internal Medicine (Licence: PA MD451104) | |
Enumeration Date | 2009-04-17 |
Last Update Date | 2019-09-20 |