| NPI | 1477659811 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D65045) | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 257255) | 
| 207R00000X Internal Medicine (Licence: MD D0065045) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D65045) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 257255) | |
| Enumeration Date | 2006-09-15 | 
| Last Update Date | 2022-07-21 |