| NPI | 1972568368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD447205) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD447205) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 21881) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 21881) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-03-25 |