| NPI | 1326086216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 246241) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MS 18629) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 246241) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-04-07 |