| NPI | 1801862693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD428157) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: CA A53094) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD428157) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2014-12-16 |