NPI | 1497868848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD030141E) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD-030141-E) |
207R00000X Internal Medicine (Licence: PA MD-030141-E) | |
Enumeration Date | 2006-08-17 |
Last Update Date | 2011-11-14 |