| NPI | 1891797759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS003980L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS003980L) |
| 207R00000X Internal Medicine (Licence: NJ 25MB06362800) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS003980L) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB06362800) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB06362800) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2016-03-03 |