| NPI | 1003081936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 247266) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 247266) |
| 207R00000X Internal Medicine (Licence: FL ME105774) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2017-07-11 |