| NPI | 1154537058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A108810) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 236893) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 236893) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2014-04-03 |