| NPI | 1013494194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 91246) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 8093610) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2024-07-12 |