| NPI | 1952330300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD068904L) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ME 016166) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME 016166) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD068904L) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2010-09-20 |