| NPI | 1962486357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD440719) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 200501043) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 200501043) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2012-03-06 |