| NPI | 1164408365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 213236) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 038983) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2018-03-28 |