| NPI | 1205858024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 206842) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD061877L) |
| 207R00000X Internal Medicine (Licence: NY 206842) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-10-04 |