NPI | 1437221207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 204538) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 204538) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 204538) | |
Enumeration Date | 2006-11-15 |
Last Update Date | 2021-02-24 |