| NPI | 1538486550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 263930) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0078526) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0078526) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2016-11-18 |