| NPI | 1629233424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD454957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 47795) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD454957) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD454957) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2017-06-30 |