| NPI | 1982805735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 22707) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD447939) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD447939) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2022-07-29 |