NPI | 1134228968 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 184722) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 184722) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 184722) | |
Enumeration Date | 2006-09-21 |
Last Update Date | 2019-03-15 |