| NPI | 1558617928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 19955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT202894) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 19955) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2023-07-03 |