| NPI | 1518102607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 247268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247268) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2020-10-22 |