| NPI | 1811973803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD049972L) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: PA MD049972L) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2017-03-27 |