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 |