| NPI | 1457715856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 324078) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VT 032.0133899) |
| 207R00000X Internal Medicine (Licence: NY 324078) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2025-06-25 |