| NPI | 1083856991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 271384) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID 4871159) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID 4871159) | |
| 282N00000X General Acute Care Hospital (Licence: NY 271384) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2025-07-23 |