| NPI | 1619920923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD430301) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: DE C10006344) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-03-21 |