| NPI | 1487072153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 288915) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 288915) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D89499) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2022-12-15 |