| NPI | 1285626986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 196475) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 196475) |
| 207Y00000X Otolaryngology (Licence: NY 196475) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2017-03-09 |