| NPI | 1386661163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 171192-8W) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 171192) |
| 208M00000X Hospitalist (Licence: KY 27059) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-06-08 |