| NPI | 1598981078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 266437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP00905) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-12-20 |