| NPI | 1619030145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 14935) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD430076) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MT187037) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NH 14935) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-08-31 |