| NPI | 1548569965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 313509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102203686) |
| 207R00000X Internal Medicine (Licence: NY 313509) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: SC 39924) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: SC DO39924) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 313509) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2022-03-04 |