| NPI | 1396196325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 301274-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 301274-01) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2025-09-03 |