| NPI | 1750673414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD449775) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449775) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD449775) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2019-09-27 |