| NPI | 1093904633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 425866) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 425866) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD425866) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2022-01-27 |