| NPI | 1861588006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD030431E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD030431E) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-02-11 |