| NPI | 1205815818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME0105017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 181218) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 181218) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2023-03-22 |