| NPI | 1801856125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD064093L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD064093L) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2021-03-03 |