| NPI | 1578723524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME119514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT191676) |
| 207R00000X Internal Medicine (Licence: FL ME119514) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME119514) | |
| 207R00000X Internal Medicine (Licence: PA MD440912) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2024-06-10 |