| NPI | 1558333716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD444745) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 159158) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD444745) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2012-11-06 |