| NPI | 1548623002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 312739) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 321739) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 67353) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-01-19 |