| NPI | 1891780490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME132373) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD030840E) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD030840E) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD030840E) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-02-06 |