| NPI | 1790848307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD424937) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: DE C1-0010456) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD424937) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: DE C1-0010456) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2019-08-21 |