| NPI | 1811029184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD040347E) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD040347E) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |