| NPI | 1831162841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD066301-L) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD066301) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2017-01-11 |