| NPI | 1780893693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD435711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA mt181562) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD435711) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2019-09-16 |