| NPI | 1073803847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME131664) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 273555) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME131664) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 273555) | |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2022-10-21 |