| NPI | 1528323755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD208014) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 302293) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD463391) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 302293) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2022-01-05 |