| NPI | 1871594978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS006616L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS006616L) |
| 207R00000X Internal Medicine (Licence: NJ 25MB05351000) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB05351000) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS006616L) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2016-03-03 |