| NPI | 1457350910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD-017973-E) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: PA MD-017973-E) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD 017973-E) | |
| 207R00000X Internal Medicine (Licence: PA MD017973E) | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2016-09-07 |