| NPI | 1386605566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 207431) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 207431) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2011-05-20 |