NPI | 1174729396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 245809) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 245809) |
207R00000X Internal Medicine (Licence: NY 245809) | |
Enumeration Date | 2007-06-25 |
Last Update Date | 2021-03-23 |