| NPI | 1689069841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD473260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT216588) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD473260) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD473260) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2021-04-01 |