| NPI | 1205040136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 41560) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 41560) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 238066) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-09-13 |