| NPI | 1528286275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0079882) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 215480) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY D0079882) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2024-07-22 |