| NPI | 1013183409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME122567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 263094) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2016-03-08 |