| NPI | 1205036563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 239375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 239375) |
| 207R00000X Internal Medicine (Licence: VA 0101237282) | |
| 207R00000X Internal Medicine (Licence: DC MD035190) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 239375) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2015-04-06 |