| NPI | 1255608857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101260292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 263595) |
| Enumeration Date | 2011-11-27 |
| Last Update Date | 2021-05-25 |