| NPI | 1578876991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 254985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 254985) |
| 207R00000X Internal Medicine (Licence: NY 254985-1) | |
| 208D00000X General Practice (Licence: NY 254985) | |
| 208M00000X Hospitalist (Licence: NY 254985-1) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2021-03-18 |