| NPI | 1629067186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD439985) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 153557) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD439985) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD439985) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD439985) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2013-03-29 |