| NPI | 1255560884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 50523) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 004046) |
| 207R00000X Internal Medicine (Licence: NY 004046) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 269527) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2015-07-16 |