| NPI | 1780844555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD437767) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD437767) |
| 207R00000X Internal Medicine (Licence: PA MT191001) | |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2020-04-06 |