| NPI | 1487000626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 291916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 291916) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2024-02-13 |