| NPI | 1619940467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 194120) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 1994120) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 042970) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 042970) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2013-10-15 |