| NPI | 1356339139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 258417) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 003037) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 10638) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 003037) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 10638) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 258417) | |
| 207R00000X Internal Medicine (Licence: NV 10638) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2024-02-28 |