| NPI | 1063804581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 308669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 308669) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 308669) | |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2023-11-24 |