| NPI | 1003801309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 116357) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 116357) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NC 200500435) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 200500435) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2014-04-22 |