| NPI | 1144678228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 332910-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 312662) |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2024-10-16 |